Job Application If hired, you must furnish, on your first day of work, the appropriate documents that validate that you are legally eligible to work in the United States. Step 1 of 2 50% Name(Required) First Middle Initial Last Present Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email(Required) Mobile PhoneAlternate PhonePosition Applied ForSalary/Pay DesiredHow did you learn of this opening?(Required)Do you have any relatives or friends working for Harrison's Landing?(Required) Yes No If yes, what is the name of that person:Have you ever been convicted of a misdemeanor or felony within the last 7 years that has not been sealed, expunged or statutorily eradicated(Required)(A conviction record will not necessarily disqualify an applicant from employment. Each case will be considered on its own merits.) Yes No If yes, please explainDo you have a valid driver’s license?(Required) Yes No Do you have your own transportation?(Required) Yes No Schedule Availability(Required)We are open 7 days a week. Hours of operation vary with the season. Check all times when you are available to work: Full Time Part Time Seasonal Days Evenings Weekends What is Your Current Education Status(Required) High School / GED Jr. College College/University Trade/Tech School Other School NameLast Grade CompletedGraduated? Yes No Graduation YearDegree/Major Work HistoryPlease start with your most recent employer and account for any periods of unemployment.Company NameCompany Address Street Address City State / Province / Region ZIP / Postal Code Company PhoneName and Title of SupervisorMay We Contact Yes No Start DateStart PositionStart SalaryEnd DateEnd PositionEnd SalaryResponsibilitiesReason for LeavingCompany NameAddress Street Address City State / Province / Region ZIP / Postal Code Company PhoneName and Title of SupervisorMay We Contact Yes No Start DateStart PositionStart SalaryEnd DateEnd PositionEnd SalaryResponsibilitiesReason For LeavingCompany NameAddress Street Address City State / Province / Region ZIP / Postal Code Company PhoneName and Title of SupervisorMay We Contact First Choice Second Choice Third Choice Start DateStart PositionStart SalaryEnd DateEnd PositionEnd SalaryResponsibilitiesReason For LeavingAdditional Skills/InformationComputer Software Skills Add RemoveAdditional Skills, Training or Experience Add RemoveWhy Did You Choose To Apply?(Required)What does assisting a customer mean to you?(Required)What personality traits do you possess that make you an excellent prospect?(Required)To help serve our customers, what languages other than English can you speak?LanguageFluent / Conversational Add RemoveBusiness/Professional ReferencesNameCompanyPhoneE-Mail Add RemoveAPPLICANT’S CERTIFICATION AND AGREEMENT(Required)I hereby authorize Harrison’s Landing to investigate my background, references, employment records, education, and other matters related to my suitability for employment. I authorize persons, schools, my current/previous employers, and any organizations contacted by Harrison’s Landing to release any information regarding this application for employment and I release all persons, schools, employers, and organizations of any and all claims for providing such information. I understand that filling out this form does not necessarily indicate that there is a position open and does not obligate Harrison’s Landing to hire me. I certify that the facts set forth in this application for employment are true and complete to the best of my knowledge and I understand that nothing in this application or conveyed during any interview (if granted,) is intended to create a promise of employment or any contractual rights. I understand that if I am employed, false statements or any omissions on this application shall be considered sufficient cause for dismissal regardless of the time elapsed before discovery. I agree to the privacy policy.Signature(Required)Date(Required) MM slash DD slash YYYY
